53-6-1409. Auditor evaluation hearings -- adoption of rules. At least once a year, the department shall conduct auditor evaluation hearings to identify issues, recommend or require corrective actions, and provide for ongoing and future evaluation of auditor performance. With input from providers, including comments gathered at the auditor evaluation hearings, the department shall adopt rules for:
(1) appropriate and inappropriate conduct and determinations by auditors; and
(2) penalties and sanctions for inappropriate conduct and determinations.
History: En. Sec. 9, Ch. 82, L. 2017.
Structure Montana Code Annotated
Title 53. Social Services and Institutions
Chapter 6. Health Care Services
Part 14. Medicaid Overpayment Audits
53-6-1403. Extrapolation and statistical sampling prohibited -- exceptions
53-6-1404. Peer review of overpayment findings
53-6-1405. Audit completion -- notice of overpayment determination -- opportunity to resubmit claim
53-6-1406. Publication of audit results
53-6-1407. Audit education and training
53-6-1408. Applicability to auditor -- scope